CAPA/CPAN Exam with Complete
Solutions/ Correct-Verified Answers
What should you watch for when caring for pt who have received inhalation agents? - ANSWER
arrhythmias, risk for hypoxia, depression of laryngeal reflexes so be vigilant for aspiration,
medicate for pain, potential for shivering
Neuromuscular blocking agents- - ANSWER given IV, doesn't cross BBB, fine to gross paralysis.
used to relax jaw so will be able to facilitate intubation
Succinylcholine- - ANSWER only depolarizing agent available.
ultra short acting
will cause K to increase
MH trigger
Difference between non depolarizing and depolarizing agents- - ANSWER non depolarizing
occupy receptor sites without activating muscle contraction. They also can be reversed
Anticholinesterase drugs are- - ANSWER reversal for neuromuscular blocking agents
, Regional anesthesia- - ANSWER injecting local anesthetic into specific region to create
a numbing effect
What kind of local is lidocaine? - ANSWER amide
Duration of lidocaine? - ANSWER 45-180 minutes
Bupivacaine- - ANSWER 3-10 hours
amide
Ropivacaine- - ANSWER amide
long lasting
Toxicity of local? - ANSWER excessive dose.
CNS- mild progressing to severe... tingling, drowsiness, confusion.
tremors of face, respiratory arrest
Treatment of toxicity with local- - ANSWER fluids, vasopressors, o2, control seizure activity,
20% lipid emulsion infusion,
20% intralipid - ANSWER 1.5ml/kg initial bolus.
0.25 ml/kg.min for 30-60mins
Bier Block- - ANSWER hands
Eye blocks- - ANSWER blocks sensation of eye and motor movement.
Complications include ruptured globe, artery, intravascular injection
Solutions/ Correct-Verified Answers
What should you watch for when caring for pt who have received inhalation agents? - ANSWER
arrhythmias, risk for hypoxia, depression of laryngeal reflexes so be vigilant for aspiration,
medicate for pain, potential for shivering
Neuromuscular blocking agents- - ANSWER given IV, doesn't cross BBB, fine to gross paralysis.
used to relax jaw so will be able to facilitate intubation
Succinylcholine- - ANSWER only depolarizing agent available.
ultra short acting
will cause K to increase
MH trigger
Difference between non depolarizing and depolarizing agents- - ANSWER non depolarizing
occupy receptor sites without activating muscle contraction. They also can be reversed
Anticholinesterase drugs are- - ANSWER reversal for neuromuscular blocking agents
, Regional anesthesia- - ANSWER injecting local anesthetic into specific region to create
a numbing effect
What kind of local is lidocaine? - ANSWER amide
Duration of lidocaine? - ANSWER 45-180 minutes
Bupivacaine- - ANSWER 3-10 hours
amide
Ropivacaine- - ANSWER amide
long lasting
Toxicity of local? - ANSWER excessive dose.
CNS- mild progressing to severe... tingling, drowsiness, confusion.
tremors of face, respiratory arrest
Treatment of toxicity with local- - ANSWER fluids, vasopressors, o2, control seizure activity,
20% lipid emulsion infusion,
20% intralipid - ANSWER 1.5ml/kg initial bolus.
0.25 ml/kg.min for 30-60mins
Bier Block- - ANSWER hands
Eye blocks- - ANSWER blocks sensation of eye and motor movement.
Complications include ruptured globe, artery, intravascular injection